Ugur Acar, 19, was Turkey’s first facial transplant. He is shown here seeing his face for the first time. sees his new face for the first time. As a baby he suffered serious burns to his face during a house fire when he was just 40 days old. He had a cosmetic procedure to repair his face in 2012 at Akdeniz University’s School of Medicine in southern Turkey. His face was freshly shaven before he looked into the mirror, as he had been forced to grow a beard over the three weeks since the operation to avoid irritating his skin. Doctors successfully transplanted tissue from the face of a 45-year-old donor to Ugur.

Pascal Coler, a modern-day Elephant Man, had his face horribly disfigured by Von Recklinghausen’s disease, a rare genetic disorder. In 2008, a team of French surgeons, headed by Professor Laurent Lantieri, gave him a new lease on life. The controversial operation, which involved replacing Mr. Coler’s face with that of a dead donor, took 16 hours. During the operation, tissues, nerves, arteries and veins were all attached to the patient’s face.

Mr. Coler described the day of his surgery as the happiest of his life.

Dallas Wiens (born May 6, 1985) is the first American to receive a full face transplant, performed at the Brigham Women’s Hospital during the week of March 14, 2011. It was the first such operation in the United States and the third in the world. Wiens of Fort Worth, Texas was severely disfigured in 2008 when he came in contact with an active high-voltage power line. He was standing inside the cherry picker when his forehead made contact with a high-voltage wire. Transported by helicopter to Parkland Memorial Hospital, surgeons spent 36 hours over two days working to save Wiens’ life.

Wiens was left permanently blind and without lips, a nose or eyebrows. Doctors told the family that Wiens likely would be paralyzed from the neck down and would never speak or produce enough saliva to eat solid food. They put him in a medically-induced coma for 3 months. After awakening, he made unprecedented progress and left the hospital in the spring of 2009. In May 2010 he started walking. In March 2011, a transplant team of more than 30 doctors, including eight surgeons and doctors and nurses from multiple disciplines led by Dr. Bohdan Pomahač, performed a full face transplant at Brigham Women’s Hospital in Boston. It took 15 hours. Wiens’ sight couldn’t be recovered but he has been able to talk on the phone and smell.

Marie Kolstad, an energetic property manager from Orange County, Calif., needed a lift in her busy life, but kept it secret from her four children, 13 grandchildren and 12 great-grandchildren, fearing they would disapprove.

At the age of 83, after being widowed for more than a decade, Kolstad spent $8,000 on three-hour breast implant surgery on July 22. “I never gave a thought to meeting someone different,” she said. “It was more about looking in the mirror and liking who I am.”

And she says her doctor has other plastic surgery patients who are even older than she is. “This seemed like a simple way to go and I didn’t think it was a big deal,” she said.

Kolstad — a 32A as a young woman — had blossomed in middle age into a 36C. At her age, she told the New York Times in a report this week, “your breasts go in one direction and your brain goes in another.”

“When I examined Marie there was a lot of sagging and almost no volume left over after 83 years,” the doctor who performed her surgery, Dr. Michael Niccole, founder of the CosmetiCare Plastic Surgery Center in Newport Beach, Calif., told ABC News.

“It’s something you dream about,” she told ABCNews.com about breast enhancement. “I just wanted nice ones. I didn’t want anything outlandish or out of place. Now, they are firmer and rounder.”

Plastic surgery is on the rise among baby boomers, but now doctors are also seeing an uptick among septuagenarians and octogenarians.

Those who are over 65 represent about 7 to 8 percent of all procedures, according to Dr. Norman Rowe, a New York City plastic surgeon.

“People say, just because my life age is 84, doesn’t mean I have to be happy or content looking 80,” he said.
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“The whole population is getting older,” said Rowe. “People in their 40s and 50s are now in their 60s and 70s getting things done. Americans are aging and their length of life is increasing.”

Americans like Kolstad are more active than any generation before them, and they say they want their bodies to match their energy level.

In 2010, there were 84,685 surgical procedures among those over 65, according to the American Society for the Aesthetic Plastic Surgery. Of those, 26,635 were face-lifts; 24,783, cosmetic eyelid operations; 6,469, liposuctions; 5,874, breast reductions; 3,875, forehead lifts; 3,339, breast lifts and 2,414, breast augmentations.

Marie Kolstad of Orange County, Calif., had breast implants at 83.

Kolstad, who is on vacation in Hawaii with close friends who are half her age, said her family worried that she would die under the knife.

“Their biggest fear was the anesthesia — could there be a blood clot or this or that,” she said. “They didn’t find out until the day before because I knew that there would be an objection and I didn’t want to hear about it. I had made my mind up.”

“She told me the day of the surgery, they told her, ‘Mom, you’re doing to die on the table,'” Dr. Niccole told ABC News. “I said, ‘You’re not going to die on the table.'”

Kolstad said her mother had lived until 94. “I am hoping to bypass her,” she said.

Rowe said he has operated on plenty of seniors, included a facelift for an 83-year-old.

“She was spry and loved to go salsa dancing and had a boyfriend at the time,” he said. “She was a widow and pretty much wanted her face to represent that.”

Though most of his older patients seek anti-aging facial work, Rowe does perform breast lift procedures on older women. “They don’t want larger breasts, they just don’t want them hanging by their knees. We can make them perky, but not like a 20-year-old.

“They look better in a bra and shirt and you don’t need a bathing suit with support,” he said.

One patient named Carol, a 64-year-old from Brooklyn, N.Y., said Rowe performed a tummy tuck and breast lift that “make me look 40.” She, too, was widowed two years ago, but said she did it for herself, not any prospective dates.

“It’s something I’ve always had on my mind, maybe 20 years ago,” said Carol, an active retiree who spends summers with her children in Brooklyn and is off to Florida in the winter.

First, she had gastric bands and went from a size 18 to 12. “I still had a fat on my belly,” said Carol. “Every time I put on a pair of paints, my belly would show.”

Then she opted for a tummy tuck and was able to get into a size 4. In all, she lost 72 pounds. “To me, it was an excellent decision,” said Carol.